JPH06125995A - ペースメーカ媒介頻脈の検出システムおよび検出方法 - Google Patents

ペースメーカ媒介頻脈の検出システムおよび検出方法

Info

Publication number: JPH06125995A
Authority: JP; Japan
Prior art keywords: interval; pmt; wave; pulse; delay
Prior art date: 1990-09-26
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.): Pending

Application number

JP3274628A

Other languages

English (en)

Japanese (ja)

Inventor

Jason A Sholder

エーシヨルダージエイソン

Stuart W Buchanan

ダブリユブキヤナンスチユアート

Brian M Mann

エムマンブライアン

Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)

Siemens Corp

Original Assignee

Siemens Corp

Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)

1990-09-26

Filing date

1991-09-25

Publication date

1994-05-10

Family has litigation

First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=24352998&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=JPH06125995(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.

1991-09-25 Application filed by Siemens Corp filed Critical Siemens Corp

1994-05-10 Publication of JPH06125995A publication Critical patent/JPH06125995A/ja

Status Pending legal-status Critical Current

Links

206010053486 Pacemaker generated arrhythmia Diseases 0.000 title claims abstract description 231
238000001514 detection method Methods 0.000 title claims abstract description 95
230000000747 cardiac effect Effects 0.000 claims abstract description 136
238000000034 method Methods 0.000 claims description 107
230000001746 atrial effect Effects 0.000 claims description 58
230000002861 ventricular Effects 0.000 claims description 54
230000008602 contraction Effects 0.000 claims description 31
230000004044 response Effects 0.000 claims description 29
208000001871 Tachycardia Diseases 0.000 claims description 22
230000006794 tachycardia Effects 0.000 claims description 21
230000001965 increasing effect Effects 0.000 claims description 20
210000002837 heart atrium Anatomy 0.000 claims description 19
230000008569 process Effects 0.000 claims description 19
230000008859 change Effects 0.000 claims description 14
230000002269 spontaneous effect Effects 0.000 claims description 7
238000012937 correction Methods 0.000 claims description 6
230000036279 refractory period Effects 0.000 claims description 6
206010036618 Premenstrual syndrome Diseases 0.000 abstract description 15
206010003668 atrial tachycardia Diseases 0.000 abstract description 5
238000010586 diagram Methods 0.000 description 49
230000000638 stimulation Effects 0.000 description 35
239000002131 composite material Substances 0.000 description 27
230000000694 effects Effects 0.000 description 17
102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 13
101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 13
230000033764 rhythmic process Effects 0.000 description 13
230000034225 regulation of ventricular cardiomyocyte membrane depolarization Effects 0.000 description 11
230000004213 regulation of atrial cardiomyocyte membrane depolarization Effects 0.000 description 10
230000006870 function Effects 0.000 description 9
238000004891 communication Methods 0.000 description 8
230000009977 dual effect Effects 0.000 description 8
230000001934 delay Effects 0.000 description 7
238000004904 shortening Methods 0.000 description 7
238000005259 measurement Methods 0.000 description 6
230000028161 membrane depolarization Effects 0.000 description 6
235000014676 Phragmites communis Nutrition 0.000 description 5
208000007888 Sinus Tachycardia Diseases 0.000 description 5
230000001960 triggered effect Effects 0.000 description 5
238000013459 approach Methods 0.000 description 4
238000012360 testing method Methods 0.000 description 4
102100034286 Ankyrin repeat domain-containing protein 27 Human genes 0.000 description 3
101000780114 Homo sapiens Ankyrin repeat domain-containing protein 27 Proteins 0.000 description 3
230000009471 action Effects 0.000 description 3
239000008280 blood Substances 0.000 description 3
210000004369 blood Anatomy 0.000 description 3
230000003247 decreasing effect Effects 0.000 description 3
210000005003 heart tissue Anatomy 0.000 description 3
238000012544 monitoring process Methods 0.000 description 3
230000002035 prolonged effect Effects 0.000 description 3
210000005245 right atrium Anatomy 0.000 description 3
210000005241 right ventricle Anatomy 0.000 description 3
210000005242 cardiac chamber Anatomy 0.000 description 2
230000002999 depolarising effect Effects 0.000 description 2
230000002452 interceptive effect Effects 0.000 description 2
230000030074 regulation of atrial cardiomyocyte membrane repolarization Effects 0.000 description 2
230000013577 regulation of ventricular cardiomyocyte membrane repolarization Effects 0.000 description 2
206010011224 Cough Diseases 0.000 description 1
206010049447 Tachyarrhythmia Diseases 0.000 description 1
230000004913 activation Effects 0.000 description 1
238000010009 beating Methods 0.000 description 1
230000009286 beneficial effect Effects 0.000 description 1
230000005540 biological transmission Effects 0.000 description 1
150000001875 compounds Chemical class 0.000 description 1
239000004020 conductor Substances 0.000 description 1
230000003111 delayed effect Effects 0.000 description 1
230000000779 depleting effect Effects 0.000 description 1
230000001627 detrimental effect Effects 0.000 description 1
238000005516 engineering process Methods 0.000 description 1
238000011156 evaluation Methods 0.000 description 1
230000000763 evoking effect Effects 0.000 description 1
230000037183 heart physiology Effects 0.000 description 1
238000009532 heart rate measurement Methods 0.000 description 1
230000006872 improvement Effects 0.000 description 1
230000000977 initiatory effect Effects 0.000 description 1
206010023497 kuru Diseases 0.000 description 1
230000007246 mechanism Effects 0.000 description 1
230000001404 mediated effect Effects 0.000 description 1
238000012986 modification Methods 0.000 description 1
230000004048 modification Effects 0.000 description 1
230000037361 pathway Effects 0.000 description 1
238000005086 pumping Methods 0.000 description 1
238000000718 qrs complex Methods 0.000 description 1
230000002441 reversible effect Effects 0.000 description 1
238000012552 review Methods 0.000 description 1
206010041232 sneezing Diseases 0.000 description 1
230000009163 spontaneous depolarization Effects 0.000 description 1
230000004936 stimulating effect Effects 0.000 description 1
230000001360 synchronised effect Effects 0.000 description 1
210000001519 tissue Anatomy 0.000 description 1
210000001835 viscera Anatomy 0.000 description 1
230000009278 visceral effect Effects 0.000 description 1

Classifications

- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
- A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions

Landscapes

Health & Medical Sciences (AREA)
Cardiology (AREA)
Heart & Thoracic Surgery (AREA)
Engineering & Computer Science (AREA)
Biomedical Technology (AREA)
Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
Radiology & Medical Imaging (AREA)
Life Sciences & Earth Sciences (AREA)
Animal Behavior & Ethology (AREA)
General Health & Medical Sciences (AREA)
Public Health (AREA)
Veterinary Medicine (AREA)
Electrotherapy Devices (AREA)

JP3274628A 1990-09-26 1991-09-25 ペースメーカ媒介頻脈の検出システムおよび検出方法 Pending JPH06125995A (ja)

Applications Claiming Priority (2)

Application Number	Priority Date	Filing Date	Title
US07/588226		1990-09-26
US07/588,226 US5074308A (en)	1990-09-26	1990-09-26	System and method for recognizing pacemaker-mediated tachycardia

Publications (1)

Publication Number	Publication Date
JPH06125995A true JPH06125995A (ja)	1994-05-10

Family

ID=24352998

Family Applications (1)

Application Number	Title	Priority Date	Filing Date
JP3274628A Pending JPH06125995A (ja)	1990-09-26	1991-09-25	ペースメーカ媒介頻脈の検出システムおよび検出方法

Country Status (5)

Country	Link
US (1)	US5074308A (de)
EP (1)	EP0477878B1 (de)
JP (1)	JPH06125995A (de)
AU (1)	AU636278B2 (de)
DE (1)	DE69117410T2 (de)

Families Citing this family (33)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
FR2669829B1 (fr) *	1990-11-30	1996-09-13	Ela Medical Sa	Procede de calcul de l'intervalle d'echappement a la fin duquel, il faut stimuler l'oreillette d'un cóoeur en cas d'absence de depolarisation.
US5228438A (en) *	1991-10-08	1993-07-20	Siemens Pacesetter, Inc.	Implantable pacemaker including means and method of terminating a pacemaker-mediated tachycardia during rate adaptive pacing
US5327900A (en) *	1991-11-01	1994-07-12	Telectronics Pacing Systems, Inc.	Apparatus and method for discriminating between heart rhythms with similar atrial and ventricular rates
US5312450A (en) *	1992-05-01	1994-05-17	Medtronic, Inc.	Pacemaker for terminating pacemaker-mediated tachycardia
US5514164A (en) *	1994-03-25	1996-05-07	Pacesetter, Inc.	DDD pacing response to atrial tachyucardia and retrograde conduction
US5476482A (en) *	1994-04-12	1995-12-19	Telectronics Pacing Systems, Inc.	Pacemaker programmer-based automatic retrograde conduction measurement
SE9404375D0 (sv) *	1994-12-15	1994-12-15	Pacesetter Ab	Hjärtstimulator som kan detektera förmakstakykardi
US5507783A (en) *	1995-01-11	1996-04-16	Pacesetter, Inc.	Pacemaker mediated tachycardia response for VDD and VDDR modalities
US5549648A (en) *	1995-03-29	1996-08-27	Vitatron Medical, B.V.	Pacemaker system and method with improved detection of end of retrograde conduction
US5882352A (en) *	1995-05-25	1999-03-16	Pacesetter, Inc.	Automatic adjustment of detection rate threshold in an implantable antitachycardia therapy device
US5609610A (en) *	1995-09-19	1997-03-11	Telectronics Pacing Systems, Inc.	Dual chamber pacemaker with automatic adaptation for intrinsic atrial events
US5674255A (en) *	1995-12-14	1997-10-07	Cardiac Pacemakers, Inc.	Dual chamber pacer having automatic PVARP
US6415180B1 (en)	1997-04-04	2002-07-02	Cardiac Pacemakers, Inc.	Device and method for ventricular tracking and pacing
US5951483A (en) *	1998-01-26	1999-09-14	Physio-Control Manufacturing Corporation	Method and apparatus for detecting an internal pacemaker pulse
US6282447B1 (en) *	1999-08-19	2001-08-28	Intermedics Inc.	Cardiac stimulator with rate-adaptive PVARP
US6246908B1 (en)	2000-02-04	2001-06-12	Uab Research Foundation	Method and apparatus for rapidly predicting outcome of arrhythmia therapy
US6895272B2 (en) *	2001-04-06	2005-05-17	Cardiac Pacemakers, Inc.	Atrial tachyarrhythmia detection system and method
US6611714B1 (en)	2001-06-13	2003-08-26	Pacesetter, Inc.	Multi-site cardiac stimulation device and method for detecting retrograde conduction
US7146215B1 (en)	2001-06-13	2006-12-05	Pacesetter, Inc.	Multi-site cardiac stimulation device and method for detecting retrograde conduction
DE10136641A1 (de) *	2001-07-20	2003-02-06	Biotronik Mess & Therapieg	Zweikammer-Herzschrittmacher
US6993393B2 (en)	2001-12-19	2006-01-31	Cardiac Pacemakers, Inc.	Telemetry duty cycle management system for an implantable medical device
US6745075B2 (en) *	2001-12-20	2004-06-01	St. Jude Medical Ab	Method and apparatus for detection of premature atrial contraction
US6985773B2 (en)	2002-02-07	2006-01-10	Cardiac Pacemakers, Inc.	Methods and apparatuses for implantable medical device telemetry power management
US7813798B2 (en) *	2002-02-14	2010-10-12	Pacesetter, Inc.	Systems and methods for preventing, detecting, and terminating pacemaker mediated tachycardia in biventricular implantable cardiac stimulation systems
US7024243B1 (en)	2002-02-14	2006-04-04	Pacesetter, Inc.	System and methods for preventing, detecting, and terminating pacemaker mediated tachycardia in biventricular implantable cardiac stimulation device
FR2844456B1 (fr) *	2002-09-16	2004-10-22	Ela Medical Sa	Dispositif medical implantable actif du type defibrillateur, cardioverteur et/ou stimulateur antitachycardique, a frequence maximale elevee de stimulation antibradycardique
US7155290B2 (en) *	2003-06-23	2006-12-26	Cardiac Pacemakers, Inc.	Secure long-range telemetry for implantable medical device
US7228182B2 (en) *	2004-03-15	2007-06-05	Cardiac Pacemakers, Inc.	Cryptographic authentication for telemetry with an implantable medical device
JP4705953B2 (ja)	2004-04-07	2011-06-22	カーディアックペースメイカーズ，インコーポレイテッド	埋込み型医療装置のｒｆウエイクアップ
US7890180B2 (en) *	2004-08-09	2011-02-15	Cardiac Pacemakers, Inc.	Secure remote access for an implantable medical device
US7509168B1 (en) *	2006-01-11	2009-03-24	Pacesetter, Inc.	Cardiac stimulation device and method providing pacemaker mediated tachycardia detection during biventricular pacing stimulation
US7778699B1 (en)	2007-04-26	2010-08-17	Pacesetter, Inc.	System and method for trigger-specific recording of cardiac signals using an implantable medical device
US8135464B1 (en) *	2007-07-30	2012-03-13	Pacesetter, Inc.	Painless ventricular rate control during supraventricular tachycardia

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
DE3217192A1 (de) *	1981-05-04	1983-01-13	Biotronik Meß- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin, 1000 Berlin	Herzschrittmacher
US4554920A (en) *	1982-11-22	1985-11-26	Intermedics, Inc.	Microprocessor controlled cardiac pacemaker and method for avoiding pacer sustained tachycardia
US4712556A (en) *	1982-11-22	1987-12-15	Intermedics, Inc.	Pacemaker and method for ventricular rate limit operation and termination of pacemaker mediated tachycardia
US4539991A (en) *	1983-02-11	1985-09-10	Vitafin N.V.	Dual chamber pacemaker
US4554921A (en) *	1983-02-11	1985-11-26	Vitafin N.V.	Dual chamber pacemaker with automatic high rate limit mode determination
US4686988A (en) *	1984-10-19	1987-08-18	Sholder Jason A	Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture
US4569350A (en) *	1984-12-05	1986-02-11	Cordis Corporation	System for detecting pacer mediated tachycardia
US4624260A (en) *	1985-05-07	1986-11-25	Intermedics, Inc.	Pacemaker with conditional atrial tracking capability
DE3535517A1 (de) *	1985-10-04	1987-04-09	Siemens Ag	Vorhofgesteuerter herzschrittmacher
US4788980A (en) *	1986-07-18	1988-12-06	Siemens-Pacesetter, Inc.	Pacemaker having PVC response and PMT terminating features
US4860749A (en) *	1988-01-06	1989-08-29	Wayne State University	Tachycardia detection for automatic implantable cardioverter/defibrillator with atrial and ventricular sensing capability
US4856524A (en) *	1988-08-29	1989-08-15	Intermedics, Inc.	A-V responsive rate adaptive pacemaker
US4944298A (en) *	1989-05-23	1990-07-31	Siemens-Pacesetter, Inc.	Atrial rate based programmable pacemaker with automatic mode switching means

1990
- 1990-09-26 US US07/588,226 patent/US5074308A/en not_active Expired - Lifetime
1991
- 1991-09-17 AU AU84572/91A patent/AU636278B2/en not_active Ceased
- 1991-09-24 EP EP91116269A patent/EP0477878B1/de not_active Revoked
- 1991-09-24 DE DE69117410T patent/DE69117410T2/de not_active Revoked
- 1991-09-25 JP JP3274628A patent/JPH06125995A/ja active Pending

Also Published As

Publication number	Publication date
AU636278B2 (en)	1993-04-22
DE69117410D1 (de)	1996-04-04
EP0477878B1 (de)	1996-02-28
AU8457291A (en)	1992-04-02
EP0477878A2 (de)	1992-04-01
US5074308A (en)	1991-12-24
EP0477878A3 (en)	1992-11-25
DE69117410T2 (de)	1996-10-17

Publication	Publication Date	Title
EP0477878B1 (de)	1996-02-28	System zur Erkennung und Beendung von durch einen Herzschrittmacher induzierten Tachykardien
EP0536720B1 (de)	1998-09-09	System zur Beendigung von durch einen Herzschrittmacher induzierten Tachykardien bei frequenzadaptierender Reizung
EP0451498B1 (de)	1995-11-02	Schrittmacher mit Mitteln zur Verhinderung falscher Antworten auf vorzeitige Kammerkontraktionen
EP0624386B1 (de)	2002-02-13	Herzschrittmacher mit Hysterese zum Schutz vor vorzeitigen Ventrikelkontraktionen
US5690689A (en)	1997-11-25	Dual-chamber implantable stimulation device having adaptive AV intervall and method for treating cardiomyopathy thereof
US6122546A (en)	2000-09-19	Pacemaker and method of operating same that provides functional atrial cardiac pacing with ventricular support
US5653738A (en)	1997-08-05	DDI pacing with protection against induction of a pacemaker medicated retrograde rhythm
US7813798B2 (en)	2010-10-12	Systems and methods for preventing, detecting, and terminating pacemaker mediated tachycardia in biventricular implantable cardiac stimulation systems
US5788717A (en)	1998-08-04	Atrial rate determination and atrial tachycardia detection in a dual-chamber implantable pacemaker
US6477420B1 (en)	2002-11-05	Control of pacing rate in mode switching implantable medical devices
US5601609A (en)	1997-02-11	Implantable cardiac stimulating device and method for administering synchronized cardioversion shock therapy to provide preemptive depolarization
US6708062B2 (en)	2004-03-16	Pacemaker having adaptive arrhythmia detection windows
US5741310A (en)	1998-04-21	System and method for hemodynamic pacing in ventricular tachycardia
US5123412A (en)	1992-06-23	Dual-chamber pacemaker with automatic selection of atrial refractory period
US5342405A (en)	1994-08-30	System and method for selecting a mode of operation of a dual-chamber pacemaker
JPH09164214A (ja)	1997-06-24	デュアルチャンバペースメーカおよびその作動方法
JPH05192416A (ja)	1993-08-03	デュアルチャンバペースメーカおよびその作動方法
CA2306708A1 (en)	1999-04-29	Implantable cardiac stimulator with rate-adaptive t-wave detection
US5507783A (en)	1996-04-16	Pacemaker mediated tachycardia response for VDD and VDDR modalities
EP0701462A1 (de)	1996-03-20	Herzschrittmacher, der auf vorhof-tachkardien und auf schrittmachervermittelte tachykardien reagiert
JP4347699B2 (ja)	2009-10-21	適応的な不整脈検出ウィンドウを有するペースメーカ
EP0598616A2 (de)	1994-05-25	System und Verfahren zur Vermeidung von Vorhofkonkurrenz zwischen Reizung und Erfassung in einem Zweikammer-Herzschrittmacher
WO2003103767A1 (en)	2003-12-18	Method to prevent pacemaker induced non-reentrant va synchrony using adaptive atrial pacing output
US5226414A (en)	1993-07-13	Implantable cardiac pacemaker with extended atrial sensing